JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Johnson Memorial Hospital

5 / 5

At a glance

Johnson Memorial Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days442Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.272Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days935Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.478Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures20Not available
SSI - Colon Surgery: Predicted Cases0.556Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures35Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.315Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days9677Not available
MRSA Bacteremia: Predicted Cases0.322Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.006Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.610Better than national
Clostridium Difficile (C.Diff): Patient Days9019Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.085Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.124Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients3.3Same as national27
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national250
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national35
Death rate for heart failure patients11Same as national121
Death rate for pneumonia patients17.5Same as national116
Death rate for stroke patients11.5Same as national27
Pressure ulcer rate0.49Same as national749
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national937
In-hospital fall-associated fracture rate0.26Same as national943
Postoperative hemorrhage or hematoma rate2.29Same as national109
Postoperative acute kidney injury requiring dialysis rate1.67Same as national31
Postoperative respiratory failure rate9.21Same as national30
Perioperative pulmonary embolism or deep vein thrombosis rate3.35Same as national112
Postoperative sepsis rate5.19Same as national30
Postoperative wound dehiscence rate1.74Same as national31
Abdominopelvic accidental puncture or laceration rate1.04Same as national88
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients-8.6Not available128
Hospital return days for pneumonia patients-7.6Not available112
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national350
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national430
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national121
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national33
Heart failure (HF) 30-Day Readmission Rate20Same as national128
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national112

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating3359
Doctor communication - star rating3359
Communication about medicines - star rating3359
Discharge information - star rating5359
Cleanliness - star rating4359
Quietness - star rating3359
Overall hospital rating - star rating4359
Recommend hospital - star rating4359
Summary star rating4359

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumemedium
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination831217
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better149380
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better144349
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18614
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better39218
Left before being seen024183
Head CT results7617
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97132
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12500
Appropriate care for severe sepsis and septic shock86124
Septic Shock 3-Hour Bundle9345
Septic Shock 6-Hour Bundle9029
Severe Sepsis 3-Hour Bundle94124
Severe Sepsis 6-Hour Bundle9691
Discharged on Antithrombotic Therapy9625
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Johnson Memorial Hospital rated?
Johnson Memorial Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Johnson Memorial Hospital have emergency services?
Yes. Johnson Memorial Hospital operates a 24/7 emergency department.
Where is Johnson Memorial Hospital located?
Johnson Memorial Hospital is located at 1125 W Jefferson St, Franklin, IN 46131.
What type of hospital is Johnson Memorial Hospital?
Johnson Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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